NPI | 1972731677 |
---|---|
Doing Business As | BLOSSOM VALLEY SENIOR ASSISTED LIVING COMMUNITY |
Entity Type | Organization |
Authorized Contact | WICKLIFFE PETERSON Executive Vice President 858-436-7662 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2009-07-01 |
Last Update Date | 2009-07-01 |